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Recurrent painful ophthalmoplegic neuropathy.

Authors
  • Huang, Cleo1
  • Amasanti, Maria1
  • Lovell, Ben1
  • Young, Tim1
  • 1 Acute Medicine Unit, Whittington Hospital NHS Trust, London, UK.
Type
Published Article
Journal
Practical neurology
Publication Date
Aug 01, 2017
Volume
17
Issue
4
Pages
318–320
Identifiers
DOI: 10.1136/practneurol-2016-001530
PMID: 28473604
Source
Medline
Keywords
License
Unknown

Abstract

Recurrent painful ophthalmologic neuropathy (RPON), previously termed ophthalmoplegic migraine, is characterised by repeated attacks of one or more ocular cranial nerve palsies with ipsilateral headache. Its cause remains unclear; it is currently thought to be neuropathic in origin, but there is debate in the literature. In documented cases, a third cranial nerve palsy is by far the most common. Here we present a case of RPON involveing the fourth and sixth cranial nervesonly. Thorough investigation, including MR scan of brain and lumbar puncture, found no alternative explanation. This case adds to the debate over whether the cause of RPON is truly neuropathic or migrainous.

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